Individual
MS. CHRISTINE MARIE KANGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1215 E ORANGE ST, LAKELAND, FL 33801-5762
(863) 802-3800
Mailing address
2053 SHADOW PINE DR, BRANDON, FL 33511-8342
(813) 389-2611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 10196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13424301
CITRUS HMO
FL
01
—
6406221
UNITED HEALTHCARE
FL
01
—
8810363001
CIGNA
FL
01
—
Y905L
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
08/20/2008
Last updated
11/09/2009
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